Remote Behavioral Health Utilization Review Specialist
Appleton, Outagamie County, Wisconsin, 54914, USA
Listed on 2026-09-17
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Healthcare
Mental Health, ABA Therapy / Behavioral Therapy
Gainwell Technologies is hiring to adjudicate Behavioral Health prior authorizations based on medical necessity and state guidelines. The role focuses on utilization review without direct patient contact, supporting areas like Substance Use Disorder and Mental Health services.
You will work remotely, review submissions, and enter outcomes into MMIS. The position requires a Master's in counseling or related field, WI licensure or eligibility, and at least 5 years of clinical experience.
We would love to welcome a new Remote Behavioral Health Utilization Review Specialist to our group in WI, United States.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote Behavioral Health Utilization Review Specialist role in the description above.
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